| Title | Transjugular intrahepatic portosystemic shunt creation as treatment for refractory chylous ascites and chylothorax in a patient with cirrhosis. | | Author(s) | Kinney TB, Ferrara SL, Miller FJ, Roberts AC, Hassanein T | | Institution | Department of Radiology, University of California San Diego Medical Center, 200 West Arbor Street, mail code 8756, San Diego, California 92101, USA. tbkinney@ucsd.edu | | Source | J Vasc Interv Radiol 2004 Jan; 15(1 Pt 1):85-9. | | MeSH | Chest Tubes
Chylothorax
Chylous Ascites
Humans
Liver Cirrhosis
Male
Middle Aged
Paracentesis
Portasystemic Shunt, Transjugular Intrahepatic
Treatment Outcome
| | Abstract | The etiology of chylothorax is usually considered to consist of four major categories: tumors, trauma, idiopathic conditions, and miscellaneous conditions. It appears that chylothorax is a rare and underreported manifestation of cirrhosis resulting from transdiaphragmatic passage of chylous ascites. This condition can be debilitating as a result of respiratory compromise from a large volume of pleural fluid, as well as metabolic derangements, malnutrition, and immunologic impairment from loss of vital lymphatic constituents. Herein the authors present a case of a 46-year-old male patient with cirrhosis and complications of high-volume chylous ascites and chylothorax who was successfully treated with creation of a transjugular intrahepatic portosystemic shunt. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 14709693 |
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